Section 7.105.210. Provider enrollment requirements.  


Latest version.

Authorities

47.05.010;47.05.300;47.07.030;47.07.040

Notes


Authority
AS 47.05.010 AS 47.05.300 AS 47.07.030 AS 47.07.040 Editor's note: A copy of the Department of Health and Social Services' provider enrollment form and provider information submission agreement may be obtained from the department's designee, Xerox Business Services, LLC, by telephone at 800-770-5650 (within Alaska but outside Anchorage) or 907-644-6800. The form may be obtained at the Xerox Business Services, LLC website at http://www.medicaidalaska.com or by mail from the following address: Xerox Business Services, LLC, Provider Enrollment, P.O. Box 240808, Anchorage, AK 99524-0808.
History
Eff. 2/1/2010, Register 193; am 10/1/2011, Register 199